A.

EMPLOYEE DATA (PLEASE PRINT):

Your Name: Division or College:

Employee ID: Department:

Your Job Title: Job Code:

How long have you been in your current position: years month

Supervisor's Name: Supervisor's Title:

B. GENERAL PURPOSE OF POSITION

Indicate in one or two sentences the general purpose of the position (or why this job exists). This statement should be a
general summary of the responsibilities listed in the next section.

C. SUMMARY OF RESPONSIBILITIES/DUTIES
Describe specific job responsibilities/duties, listing the most important first. Use a separate statement for each responsibility.
Most positions can be described in 6-8 major responsibility areas. Combine minor or occasional duties in one last
statement. Give a best estimate of average percentage of time each responsibility takes; however, do not include a duty
which occupies 5% or less of your time unless it is an essential part of the job. Each statement should be brief and concise,
beginning with an action verb. A list of action verbs is attached for reference but feel free to use other action verbs if
they are more appropriate.  The box below shows an example.
--EXAMPLE-- Percent (%)
of Time
Secretary
1. Performs a variety of typing duties including standard letters, reports and forms.
2. Takes and transcribes dictation. Composes letters and memos as directed. 25%
3. Maintains departmental files; ensures that all records are updated and modified as necessary. 25%
4. Answers the telephone and greets visitors. 20%
5. Makes travel arrangements. 20%
10%

100%

LIST MOST IMPORTANT TASKS FIRST Percent (%)

of Time

1.

2.

3.

1
4.

5.

6.

7.

8.

9. Perform other job-related duties as assigned.

100%

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General Education & Experience

D. EDUCATION: Check the box that best indicates the minimum training/education requirements of this job. (Not
necessarily your education, but the requirements for the job).

Minimum
Requirement
Some College/Associate's Degree

Bachelor's Degree

High School Diploma or GED Master's Degree

Vocational/Technical/Business School Doctorate Degree

E. EXPERIENCE
TYPE OF EXPERIENCE NEEDED: Please indicate the specific job experience needed. For example, "accounting
experience in an education environment" vs. "accounting experience". Be sure that the experience stated is what is actually
required by the job, not what is preferred.

Check the box which best indicates the minimum amount of experience described above. (Not necessarily your years of
experience, but the requirements for the job.)

Less than 6 months 3 but less than 5 years

6 months but less than 1 year 5 but less than 7 years
1 year but less than 3 years 7 years plus

F. TYPE OF SKILLS AND/OR LICENSING/CERTIFICATION REQUIRED:

Please indicate all specific skills and/or licensing/certification required (not preferred) to do this job. For example,
spreadsheet software proficiency may be a requirement for a secretarial job; journey license may be required for an
electrician.

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G. SUPERVISORY RESPONSIBILITIES
SUPERVISORY NATURE: What is the nature of the direct supervisory responsibility your job has? Check one answer.

No supervisory responsibility.

Work leadership of one or more employees.

Supervisor over a section of a department.
Assistant Manager over supervisors or a small department.
Manager of one department.
Manager of more than one department.
Director, through managers, of a single department.
Director, through managers, of multiple departments.

How many positions report directly to you?

None 1 2-3 4-6 7 or more

List the title(s) of employee(s) whom you directly supervise:
Title Grade/Level Number of Positions

Indicate the total number of employees you indirectly supervise through supervisors or managers:

None 1-5 6-10 11-20 21-50 51-100 100 +

Does this position require functional supervision of positions that do not report directly to you?

Yes No

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